Organization Active NPI

Physicians Plus North LTD

  • Sports Physician Chiropractor
  • Chicago, IL
National Provider Identifier
1063638674
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
042617987 Issued in IL
Legal business name
PHYSICIANS PLUS NORTH LTD
Practice address
1700 W Diversey Pkwy
Suite 2W
Chicago, IL 60614-1010
Phone
(773) 348-0033
Fax
(773) 348-0553
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Anthony Marando Jr., D.C.NPI 1659402055
Title
Chiropractor
Phone
(773) 348-0033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 042617987 IL Primary

Addresses

Primary practice location

1700 W Diversey Pkwy
Suite 2W
Chicago, IL 60614-1010

Mailing address

1700 W Diversey Pkwy
Suite 2W
Chicago, IL 60614-1010
Phone (773) 348-0033

Other identifiers 1

IdentifierTypeStateIssuer
1632107OtherILBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL INFO@PHYSICIANSPLUSCHICAGO.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041202000418 IL Part B Supplier - Clinic/Group Practice 9537125422 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1700 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 348-0033

1700 W Diversey Pkwy
Ste 2W
Chicago, IL 60614
Phone (773) 348-0033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1063638674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W DIVERSEY PKWY",
            "address_2": "SUITE 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141010",
            "telephone_number": "773-348-0033",
            "fax_number": "773-348-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W DIVERSEY PKWY",
            "address_2": "SUITE 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141010",
            "telephone_number": "773-348-0033",
            "fax_number": "773-348-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PLUS NORTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "MARANDO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "773-348-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "042617987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1632107",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "INFO@PHYSICIANSPLUSCHICAGO.COM",
            "affiliation": "N",
            "address_1": "1700 W Diversey Pkwy",
            "address_2": "Suite 2W",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606141010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.